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Anatomy - NEETMDS- courses
NEET MDS Lessons
Anatomy

Muscles Moving the Auditory Ossicles

The Tensor Tympani Muscle

  • This muscle is about 2 cm long.
  • Origin: superior surface of the cartilaginous part of the auditory tube, the greater wing of the sphenoid bone, and the petrous part of the temporal bone.
  • Insertion: handle of the malleus.
  • Innervation: mandibular nerve (CN V3) through the nerve to medial pterygoid.
  • The tensor tympani muscle pulls the handle of the malleus medially, tensing the tympanic membrane, and reducing the amplitude of its oscillations.
  • This tends to prevent damage to the internal ear when one is exposed to load sounds.

 

The Stapedius Muscle

  • This tiny muscle is in the pyramidal eminence or the pyramid.
  • Origin: pyramidal eminence on the posterior wall of the tympanic cavity. Its tendon enters the tympanic cavity by traversing a pinpoint foramen in the apex of the pyramid.
  • Insertion: neck of the stapes.
  • Innervation: nerve to the stapedius muscle, which arises from the facial nerve (CN VII).
  • The stapedius muscle pulls the stapes posteriorly and tilts its base in the fenestra vestibuli or oval window, thereby tightening the anular ligament and reducing the oscillatory range.
  • It also prevents excessive movement of the stapes.

  • Skull 
    Cranium
    o    Superior portion formed by the frontal. parietal, and occipital bones
    o    Lateral portions formed by the temporal and sphenoid bones
    o    Cranial base formed by the temporal. sphenoid, and ethmoid bones
    o    Fontanels-soft spots in which ossification is incomplete at birth

    Frontal bone
    o    Forms the forehead
    o    Contains the frontal sinuses
    o    Forms the roof of the orbits
    o    Union with the parietal bones forms the coronal suture

    Parietal bones
    o    Union with the occipital bone forms the lambdoid suture
    o    Union with the temporal bone forms the squamous suture
    o    Union with the sphenoid bone forms the coronal suture

    Temporal bones
    o    Contains the external auditory meatus and middle and inner ear structures
    o    Squamous portion-above the meatus: zygomatic process-articulates with the zygoma
    o    to form the zygomatic arch 

    •    Petrous portion
    o    Contains organs of hearing and equilibrium 
    o    Prominent elevation on the floor of the cranium

    •    Mastoid portion
    o    Protuberance behind the ear

    o    Mastoid process
    •    Glenoid fossa-articulates with the condyle on the mandible
    •    Styloid process-anterior to the mastoid process; several neck muscles attach here
    •    Stylomastoid foramen-located between the styloid and mastoid processes; facial nerve emerges through this opening
    •    Jugular foramen-located between the petrous portion and the occipital bone: cranial nerves IX. X, and XI exit
     

 

Stylohyoid Muscle

  • Origin: Posterior border of the styloid process of the temporal bone.
  • Insertion: Body of the hyoid bone at the junction with the greater horn.
  • Nerve Supply: Facial nerve (CN VII).
  • Arterial Supply: Muscular branches of the facial artery and muscular branches of the occipital artery.
  • Action: Elevates the hyoid bone and base of the tongue.

Gross Features of the Tongue

  • The dorsum of the tongue is divided by a V-shaped sulcus terminalis into anterior oral (presulcal) and posterior pharyngeal (postsulcal) parts.
  • The apex of the V is posterior and the two limbs diverge anteriorly.
  • The oral part forms about 2/3 of the tongue and the pharyngeal part forms about 1/3.

 

Oral Part of the Tongue

  • This part is freely movable, but it is loosely attached to the floor of the mouth by the lingual frenulum.
  • On each side of the frenulum is a deep lingual vein, visible as a blue line.
  • It begins at the tip of the tongue and runs posteriorly.
  • All the veins on one side of the tongue unite at the posterior border of the hyoglossus muscle to form the lingual vein, which joins the facial vein or the internal jugular vein.
  • On the dorsum of the oral part of the tongue is a median groove.
  • This groove represents the site of fusion of the distal tongue buds during embryonic development.

 

The Lingual Papillae and Taste Buds

  • The filiform papillae (L. filum, thread) are numerous, rough, and thread-like.
  • They are arranged in rows parallel to the sulcus terminalis.
  • The fungiform papillae are small and mushroom-shaped.
  • They usually appear are pink or red spots.
  • The vallate (circumvallate) papillae are surrounded by a deep, circular trench (trough), the walls of which are studded with taste buds.
  • The foliate papillae are small lateral folds of lingual mucosa that are poorly formed in humans.
  • The vallate, foliate and most of the fungiform papillae contain taste receptors, which are located in the taste buds.

 

The Pharyngeal Part of the Tongue

  • This part lies posterior to the sulcus terminalis and palatoglossal arches.
  • Its mucous membrane has no papillae.
  • The underlying nodules of lymphoid tissue give this part of the tongue a cobblestone appearance.
  • The lymphoid nodules (lingual follicles) are collectively known as the lingual tonsil.

The Eye and Orbit

  • The orbit (eye socket) appears as a bony recess in the skull when it is viewed from anteriorly.
  • It almost surrounds the eye and their associated muscles, nerves and vessels, together with the lacrimal apparatus.
  • The orbit is shaped somewhat like a four-side pyramid lying on its side, with its apex pointing posteriorly and its base anteriorly.

 

-> This bone forms much of the base and posterior aspect of the skull.
-> It has a large opening called the foramen magnum, through which the cranial cavity communicates with the vertebral canal.
-> It is also where the spinal cord becomes continuous with the medulla (oblongata) of the brain stem.
-> The occipital bone is saucer-shaped and can be divided into four parts: a squamous part (squama), a basilar part (basioccipital part), and two lateral parts (condylar parts).
-> These four parts develop separately around the foramen magnum and unite at about the age of 6 years to form one bone.
-> On the inferior surfaces of the lateral parts of the occipital bone are occipital condyles, where the skull articulates with C1 vertebra (the atlas) at the atlanto-occipital joints.
-> The internal aspect of the squamous part of the occipital bone is divided into four fossae: the superior two for the occipital poles of the cerebral hemispheres, and the inferior two, called cerebellar fossae, for the cerebellar hemispheres.

 

The Superior Roof of the Orbit

  • The superior wall or roof of the orbit is formed almost completely by the orbital plate of the frontal bone.
  • Posteriorly, the superior wall is formed by the lesser wing of the sphenoid bone.
  • The roof of the orbit is thin, translucent, and gently arched. This plate of bone separates the orbital cavity and the anterior cranial fossa.
  • The optic canal is located in the posterior part of the roof.

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